Organization · NPI-2

Alaska Complete Dentistry LLC

Dentist · Anchorage, AK

NPI number1174350086
StatusActive
Last updated in NPPESSep 16, 2024

Details

NPI
1174350086
Entity type
Organization (NPI-2)
Legal business name
Alaska Complete Dentistry LLC
Organization subpart
No
Enumeration date
Sep 16, 2024
Certification date
Sep 16, 2024
Last updated
Sep 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes

Other names

  • Alaska Smiles (Doing Business As)

Practice location

1000 E Dimond Blvd Ste 210
Anchorage, AK 99515-2029

Phone 907-278-6684 · Fax 907-279-1779

Mailing address

1000 E Dimond Blvd Ste 210
Anchorage, AK 99515-2029

Phone 907-278-6684 · Fax 907-279-1779

Authorized official

Brett Colter Johnson
Owner/Dentist
9072786684

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